Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 269584-1 | NY |
NPI | 1003084591 |
---|---|
Provider Name | Dr. Michael Armando Marchetti |
First Address | New York, NY 10022-5243 |
Second Address | New York, NY 10022-5243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2008 |
Last Update Date | 31/07/2014 |